Ichiza "klopiksol-akufaz": imiyalelo esetyenziswa kunye nengxelo

Unyango lwesifo sengqondo kubantu ezininzi ezinxulumene nokusetyenziswa kweziyobisi eziyingozi umonakalo ezingenakulungiswa kwinkqubo luvo. Ngoko ke, lo mlinganiselo kwezigulane ngokwamanakanibe kwangumqondiso bakhetha ukuzifihla okanye ulwe nabo ngokuzimeleyo. Le ndlela kuyingozi kakhulu kwaye izaliswe kunye nophuhliso iingxaki ezinzulu. noncedo ngexesha i wengqondo kunye nokukhethwa unyango ngamnye iirejimeni yindlela efanelekileyo - ngundoqo ukugcina yokuphila abaqhelekileyo kwi elizayo.

indlela isenzo

"Klopiksol-akufaz" - isisombululo amayeza ngenxa inaliti intramuscular. Yena libhekisela neuroleptics, okt iimali ezisetyenziselwa ukunyanga iintlobo zezifo zengqondo. Le into esebenzayo kwi ekwakhiweni yesisombululo - acetate zuclopenthixol.

reactions ngengqondo nazo ngenxa ukungasebenzi le neurotransmitters (ubukhulu becala dopamine kunye serotonin). Ngokuqhelekileyo, ezi zihlanganisi zinika ukudluliselwa luvo umnqweno iziphelo receptor. Ukunciphisa umsebenzi wabo nokubuyisela ukukwazi ingqondo ukuba ukucinga nangengqwalasela enkulu, neuroleptics zisetyenziswa. Zuclopenthixol iibhloko dopamine receptors, kangangokuba kubonisa inyathelo antipsychotic.

Iziyobisi kwakhona abangaphangeliyo ukosuleleka neemvakalelo e kwalapho stem ingqondo, kuba walo nokuvala. Lunciphisa reflex gag, ukuze lusetyenziswe kwiimeko apho fane lukhatshwa isicaphucaphu kunye intloko ebuhlungu.

ubungqina

"Klopiksol-akufaz" isetyenziselwa unyango izigaba zokuqala izifo ezihlasela zosulele yengqondo, ukuqhubela phambili kwengqondo ezingapheliyo kunye nokunciphisa ubungqongqo kubonakaliswa tai manic. Xa zidityaniswe namanye amacandelo arhente unyango kuyinto returns umntu ehlabathini lokwenene. Ngokuphumelelayo ishenxisa miqondiso ilandelayo ngengqondo incipient:

• Uvalo nolaka unmotivated kwabanye;
• ukungabikho umdla ebomini, bengenamdla;
• imemori Ukuphazamiseka;
• kwanciphisa ukusebenza kwengqondo;
• ixhala kunye noloyiko ngqiqweni;
• nabantu imbonakalo yakhe, lo bamona lomgadi imithetho eziziziqalelo yezempilo;
• izizwe kunye nokuba mathidala ukunxibelelana nabantu;
• ukusola kakhulu nokungathembani.

Ubuninzi xiyimiso ichiza igazi ngomhla 3 unyango, nangona okulalisa uvela ngaphambili kakhulu (malunga imizuzu eli-15 emva kokuba kulawulo intramuscular).

"Klopiksol-akufaz": imiyalelo ngokusebenzisa ichiza

Isisombululo equlathe mg 50 zuclopenthixol acetate 1 ml. Kuxhomekeka iimpawu yesigulane, iyeza idosi ilungiswa ngamnye ngugqirha khona. Ezicetyiswayo mali lokuqala ichiza - 3.1 ml intramuscularly. Enye Inaliti ngokwaneleyo ukugcina yoxinaniso ezinzileyo ukwimo esebenzayo kwegazi lakhe imihla emininzi. Inani kuqhume kunye lokuphumla anokuhlenga-hlengiswa kugqirha khona, anikwe ukuthwala mali, kwaye ubukhulu yezenzo zakhe.

Xa yonyango abadala, antipsychotics ezininzi akufuneki ukuba kungafundiswa ngokwemithamo eliphezulu ngokuvunywe. Oku kukwasebenza amayeza "klopiksol-akufaz". Imiyalelo zokusetyenziswa ichiza kuquka ukunciphisa ubungakanani isicombululo ungabutofela ka 1-2 ml ezilahlwayo. Ngaphezulu ezi zokuziphatha ayikhuthazwa ukuze uphephe iziphumo ebezingalindelekanga kunye negazi.

Izimo

Nayiphi antipsychotics kufuneka isetyenziswe kunye neemeko ezithile co-oyikwe. Kuyimfuneko ukuqwalasela ukuqeshwa ichiza "klopiksol-akufaz". Izimo ukuba ukusetyenziswa kwayo zezi zilandelayo:

• senhliziyo (ukuwa);
• pheochromocytoma;
• coma;
• iziyobisi okanye ubuthi utywala.

Ichiza ayisetyenziselwa kunyango abafazi abakhulelweyo, ingakumbi ezintathu yokuqala, xa kukho lwesithuba onke amalungu kunye neenkqubo wosana elizayo. Ngexesha zisanyisa, injongo yale chiza akufuneki, nangona ekhululwe kulo ubisi imali engephi. Xa yondele kufuneka ukudibanisa amayeza kunye ibele kunokwenzeka. Kulo meko, usana kuyimfuneko ukuba aququzelele gqolo ukubeka iliso ezingabantwana asabele ngexesha ukuba ichiza kuya kuchaphazela kakubi umntwana.

effect side

iziphumo ezingafunekiyo ngexesha unyango zinqabile. Oku kwenzeka emva kokuba ukusetyenziswa elide umxube ezininzi. Ngokuqhelekileyo, xa amathamo ephantsi bona, nangona ngamanye amaxesha kuyimfuneko ukuba indawo i "klopiksol-akufaz" indlela engenye. nomphumela Side lungabonakaliswa ziinkqubo kunye namaziko:

• luvo (ukuphazamiseka mafutha, ngezifo yokuhlala, ukudinwa eyonyukileyo kunye nomnqweno rhoqo ukulala);
• nemithambo yegazi (isiyezi kunye wayicola uxinzelelo kwi utshintsho elibukhali kwi omzimba, izinga intliziyo rapid);
• izitho zokugaya (iisampulu zesibindi kuzilungelelanisa ukuhla, namathe asanelanga, iintshukumo kwesisu baphazamiseka);
• inkqubo excretory (nakwenzeka lokusula lwesinye).

isigulana Ekubeni amalungiselelo nemiphumo eliqaqambileyo umthomalalisi, ngethuba Impatho enqwenelekayo ukuqhuba kwaye asebenza kunye neendlela ngqo efuna ingqalelo.

imithetho zokwamkelwa

"Klopiksol-akufaz" libhekisela iziyobisi non-ezingenabungozi, ezo ikakhulu ukunyamezeleka lula zizigulane. Nangona kunjalo, xa ucinga ukuba amalungiselelo yaveliswa ngokohlobo isisombululo oyile, oko kwenziwa intramuscularly kuphela. izitofu efakwa kungakhokelela Embolism nenqatha, nto leyo eyingozi kakhulu ubomi babantu. Oku igcwele kunye ukuvaleka imithambo yegazi engundoqo kunye nokubanjwa zokuphefumla.

Nokuba ngcono kunye nokungabikho elikhangeleka iimpawu ayikwazi zivele ukuyeka ukusebenzisa iziyobisi "klopiksol-akufaz". Abstract kwiziko kwiimeko ezinjalo kubandakanya ukhetho unyango yolondolozo okanye yiya kwi ipilisi kunye isithako efanayo esebenzayo. Kubaluleke kakhulu ukubambelela zonke izindululo gqirha ukuya, kuba ukususwa engagunyaziswanga ichiza phantse kusoloko kukhokelela okubi entsha kwaye, ngenxa yoko, ukuba iingxaki ezinkulu zengqondo.

Ukuhambisana kunye nezinye iziyobisi kunye notywala

Phantse wonke amachiza asetyenziswa zengqondo, awahambelani yotywala (kuquka "klopiksol-akufaz"). Oku kuthetha ukuba unyango lubandakanya ukwaliwa utywala okanye naziphi na iziyobisi, ngenxa yokuba i co-ongena ebantwaneni, ukuba zisidimaze kakhulu nokusebenza kwengqondo kunye luvo. Ichiza kwandisa kwaye lwenze nefuthe iziyobisi Ukubulawa jikelele.

Esiyingozi indibanisela ichiza kunye amayeza antiemetic (umzekelo, "Reglan") kunye anthelmintic ( "Piperazine"). Umngcipheko wokuhlaselwa leengxaki extrapyramidal kulo mzekelo kwandisa ngaphezulu kakhulu xa ukusetyenziswa elahlukileyo le mali.

Isisombululo "klopiksol-akufaz" (arhente analogs included) zenziwe ongaphathiswanga kunye guanethidine kunye arhente ezifana ukuba unyango wegazi. Xa isifo Parkinson ngayo ukusetyenziswa neuroleptic contraindicated kuba kudityaniswe eqhelekileyo ukuba izigulane ezinjalo unyango.

Indlela ukuhambisa ezinye iintlobo balawule indlela?

Ukugcina isiphumo zengqondo antipsychotic ungakhetha utshintsho kumzobo ngamnye ifomu idosi lula ngakumbi. Kaninzi, izigulane ziyakhuthazwa ukuba indawo isitofu isisombululo eqhelekileyo ukhetho kugalelwe. Ngokuqhelekileyo, kwanele 1 le mali amayeza zonke iiveki ezi-2 ukuya kufikelela xi ezinqwenelekayo arhente kwi kwizihlunu zomzimba.

Le imo asizichaphazeli ubomi obuqhelekileyo, kwaye kungekho ebonisa ngqo ukuba esibhedlele na umntu aqhubeke unyango ekhaya. Inaliti ngaphantsi endaweni emisiweyo amacwecwe, ithamo ebalwayo ngamnye isekelwe phezu iimpawu umzimba yomguli kunye nobungozi besi sifo.

Izinto eziluncedo nezingeloncedo beziyobisi

"Klopiksol-akufaz" eveliswa izilinganiso kungcono ukuba kunciphisa inani lwezitofu ukuba ubuncinane yaye ngenxa yoko musani kuhlala phezu ingqalelo oku yesigulane. Ngokungafaniyo nezinye antipsychotics kwi unyango ireyithi psychosis ngokwaneleyo 2-4 isitofu ichiza ukuphumeza ukusebenza ngendlela efanayo. Xa ikhethiwe kakuhle idosi kuthetha ukuphepha yolwamkelo engumzekelo uxinezeleko. unyango ngamachiza kunceda ekupheliseni kuphela iimpawu ngengqondo, kodwa ezinye iimpawu ngesifo (notyekelo ngabodwa, waphelelwa ngokweemvakalelo).

Luncedo xa kuthelekiswa yokulungiselela ingabizwa uhlobo balawule. Ekubeni ichiza yakhululwa isisombululo, oko kwenziwa kuphela ngenaliti. Oku kufuna uncedo ngabasebenzi bezempilo kunye nokulandelwa inzalo. Noko ke, ngenxa ukusebenza kunye spectrum ezibanzi umsebenzi ichiza "klopiksol-akufaz" (zikhombisa kunye data zonyango ukuqinisekisa oku), ezi bokuqonda akukho ephawulekayo ingakumbi.

baqinisekiswa

Engqondweni abantu abagulayo bafanelwe ingqalelo nenkxaso ubuncinane abo ndigule. Bengakuqondi ingozi sifo ngexesha yondele, ukuba linokukwenzakalisa okanye abanye. Ngoko ke, abo benze loo ngxaki ngexesha "ukukhanya", bakulungele ukuzama naluphi an unyango kunye namayeza ukulungisa indlela abacinga ngayo nendlela ayibona ngayo olujongwayo lubonwe. Enye sisebenzayo kulo mzekelo kunye amachiza afumanekayo - "klopiksol-akufaz". Izimvo samalungiselelo ingqinwa yokuba isiqabu izigulane psychosis kwenzeka ngokukhawuleza kakhulu, yaye emva koko kwabakho uxolelo ixesha elide.

On iziphumo ebezingalindelekanga izigulane ezimbalwa zikhalazo, kwaye ubukhulu becala ukuba ezinxulumene iidosi eziphezulu iziyobisi alawulwa. Abantu baye baqaphela ukuba ebudeni unyango benomnqweno ukubaleka baphume usapho kwaye ukunxibelelana nabasebenzi bezonyango ngcembe ubashiye. Ekuhambeni kwexesha, ukuba ngokuqhelekileyo bachithe kwisangqa eziqhelekileyo ekuhlaleni nokugcina ukucinga.

Izimvo oogqirha

Ngexesha unyango kunye neuroleptics okulalisa kudla kunye ukuhla kakhulu kuxinzelelo (oku kusebenza "klopiksol-akufaz" iziyobisi). Guide ulumkisa ngale, Noko ke, xa kusenziwa, oogqirha bathi hypotension kakhulu kakhulu xa usebenzisa iyeza anayenza.

Yengqondo achaza umthomalalisi ngokukhawuleza ngengqondo, ngesifo kunye namazwe manic. Ngelishwa, ichiza akuthethi ukuphucula ubuchule cognitive kwaye okuhlalutya yobuchopho aphulwe in sengqondo. Ichiza aziqhelekanga. Ukuze ezi njongo, imali lokugula elongezelelweyo kufuneka ngabanye isabelo.

Iyeza isetyenziselwa ukunyanga abantu abadala. Akubikho ixhala nokuphelisa iimpawu yimincili yengqondo. Xa abantu abane-Alzheimer, oko kuyanceda zisulu uchuku, kuphucula ukulala, kodwa ngokukhawuleza kangangoko kwizigulane kunye ezimbi nemithambo.